| Thomas E. Kersting, Dds Pc | |
|
100 E Kimberly Rd Suite 501 Davenport IA 52806-5924 | |
| (563) 386-3065 | |
| Not Available |
| Full Name | Thomas E. Kersting, Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 E Kimberly Rd, Davenport, Iowa |
| Authorized Official Name and Position | Thomas Edward Kersting (OWNER) |
| Authorized Official Contact | 5633863065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Kersting, Dds Pc 100 E Kimberly Rd Suite 501 Davenport IA 52806-5924 Ph: (563) 386-3065 | Thomas E. Kersting, Dds Pc 100 E Kimberly Rd Suite 501 Davenport IA 52806-5924 Ph: (563) 386-3065 |
| NPI Number | 1902979735 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902979735 | NPI | - | NPPES |
| 0009845 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 06799 (Iowa) | Primary |
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